| NPI | 1497162283 |
|---|---|
| Former Name | CARRIE AMANDA SKOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30136) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60613) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2024-11-04 |